SUP-2030002 — Strattice Firm 20x30cm 2030002
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). STRATTICE FIRM 20X30CM 2030002 (CDM SUP-2030002) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-2030002?code_type=CDM
MLA (9th ed.)
“STRATTICE FIRM 20X30CM 2030002 (CDM SUP-2030002) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-2030002?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“STRATTICE FIRM 20X30CM 2030002 (CDM SUP-2030002) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-2030002?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,648–$23,263 (25th–75th percentile) across 14 hospitals · 131 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-2030002 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ST CATHERINE HOSPITAL INC Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | FRANCISCAN ACO [236] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID [200] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE [220] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID [200] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE [220] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CARETAKER HIP [232] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | CARETAKER HIP [232] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | FRANCISCAN ACO [236] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID HIP [230] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID HIP [230] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $121.68 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | DUKE PLUS | DUKE PLUS | $480.00 | $1,500.00 | $405.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | DUKE PLUS | DUKE PLUS | $480.00 | $1,500.00 | $405.00 | 2025-03-27 | MRF ↗ |
| COMMUNITY HOSPITAL Both | UMR EMPLOYEE [411] | UHC Navigate/Core | $594.40 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | UHC [370] | UHC Navigate/Core | $594.40 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | UMR EMPLOYEE [411] | UHC Navigate/Core | $598.28 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | UHC [370] | UHC Navigate/Core | $598.28 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | ILL BX X [803] | BX IL HMO | $633.25 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | BX ILL HMO MCNP [315] | BX IL HMO | $633.25 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | ILL BX X [803] | BX IL HMO | $644.90 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | BX ILL HMO MCNP [315] | BX IL HMO | $644.90 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | BX ILL HMO MCNP [315] | Powers Health Partners | $647.49 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | BX ILL HMO MCNP [315] | Powers Health Partners | $647.49 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | COMMERCIAL [600] | UHC All Payors | $661.73 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MITTAL [385] | UHC Options PPO | $661.73 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | UHC [370] | UHC Options PPO | $661.73 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | UHC [370] | UHC All Payors | $661.73 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MITTAL [385] | UHC Options PPO | $665.62 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | UHC [370] | UHC Options PPO | $665.62 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | COMMERCIAL [600] | UHC All Payors | $665.62 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | UHC [370] | UHC All Payors | $665.62 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | CIGNA [365] | Cigna One Health HMO | $683.75 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CIGNA [365] | Cigna One Health HMO | $683.75 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | LUTHERAN PREFERRED NETWORK [486] | Lutheran Preferred | $776.99 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | LUTHERAN PREFERRED NETWORK [486] | Lutheran Preferred | $776.99 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | LOCAL 150 [471] | Anthem Blue Cross | $876.57 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | ANTHEM CARPTENTERS [468] | Anthem Blue Cross | $876.57 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | BLUE CROSS [300] | Anthem Blue Cross | $876.57 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | ANTHEM X [801] | Anthem Blue Cross | $876.57 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | BLUE CROSS [300] | Anthem Blue Cross | $892.11 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | ANTHEM X [801] | Anthem Blue Cross | $892.11 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | LOCAL 150 [471] | Anthem Blue Cross | $892.11 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | ANTHEM CARPTENTERS [468] | Anthem Blue Cross | $892.11 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | PHCS [380] | PHCS | $932.39 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | PHCS [380] | PHCS | $932.39 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | AETNA [360] | Aetna NBD | $949.22 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | AETNA [360] | Aetna NBD | $949.22 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | AETNA [360] | Aetna | $962.17 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | AETNA [360] | Aetna | $962.17 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | AETNA X [854] | Aetna | $962.17 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | AETNA X [854] | Aetna | $962.17 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | HUMANA [390] | Humana HMO | $972.53 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | HUMANA [390] | Humana PPO | $972.53 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CHOICECARE [395] | Humana PPO | $972.53 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | HUMANA [390] | Humana PPO | $972.53 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | CHOICECARE [395] | Humana PPO | $972.53 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | HUMANA [390] | Humana HMO | $972.53 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | GREAT WEST [455] | Cigna | $997.13 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CIGNA [365] | Cigna | $997.13 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | IHN [467] | Cigna | $997.13 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | IHN [467] | Cigna | $997.13 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | GREAT WEST [455] | Cigna | $997.13 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | CIGNA [365] | Cigna | $997.13 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | BX ILL WITHOUT SUITCASE [606] | Anthem Blue Cross Traditional | $1,025.88 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | ILLINOIS BX X [851] | Anthem Blue Cross Traditional | $1,025.88 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | BLUE CROSS [300] | Anthem Blue Cross Traditional | $1,025.88 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | HFN [470] | HFN | $1,035.98 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | FORD MOTOR COMPANY [469] | Coventry Health Care | $1,035.98 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | FORD MOTOR COMPANY [469] | Coventry Health Care | $1,035.98 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | FIRST HEALTH [375] | Coventry Health Care | $1,035.98 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | FIRST HEALTH [375] | Coventry Health Care | $1,035.98 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | BX ILL WITHOUT SUITCASE [606] | Anthem Blue Cross Traditional | $1,093.74 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | ILLINOIS BX X [851] | Anthem Blue Cross Traditional | $1,093.74 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | BLUE CROSS [300] | Anthem Blue Cross Traditional | $1,093.74 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | COMMERCIAL [600] | Multiplan | $1,139.58 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | NPPN [409] | Multiplan | $1,139.58 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MULTIPLAN [476] | Multiplan | $1,139.58 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | COMMERCIAL [600] | Multiplan | $1,139.58 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | NPPN [409] | Multiplan | $1,139.58 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MULTIPLAN [476] | Multiplan | $1,139.58 | $1,294.98 | $776.99 | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | HUMANA | HUMANA CHOICECARE NETWORK PPO | $1,275.00 | $1,500.00 | $405.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | HUMANA | HUMANA CHOICECARE NETWORK PPO | $1,275.00 | $1,500.00 | $405.00 | 2025-03-27 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2,115.82 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2,115.82 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2,115.82 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2,115.82 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2,115.82 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $2,115.82 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $2,115.82 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $4,882.65 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $4,882.65 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $4,882.65 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $4,882.65 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $5,166.80 | $51,668.00 | $33,584.20 | 2026-05-15 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $5,265.99 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $7,233.50 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $7,233.50 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $7,233.50 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA CONTRACTED [320239] | HB STLO MEDICA EXCHANGE | $8,495.81 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICA CONTRACTED [320239] | HB WASH MEDICA EXCHANGE | $8,495.81 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $9,693.00 | $38,772.00 | $25,201.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $9,693.00 | $38,772.00 | $25,201.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $9,693.00 | $38,772.00 | $25,201.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $9,693.00 | $38,772.00 | $25,201.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $9,693.00 | $38,772.00 | $25,201.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $9,693.00 | $38,772.00 | $25,201.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $9,693.00 | $38,772.00 | $25,201.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $9,693.00 | $38,772.00 | $25,201.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | MEDICA CONTRACTED [320239] | HB ARDM MEDICA EXCHANGE | $11,081.72 | $28,934.00 | $18,807.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC EXCHANGE | $11,197.46 | $28,934.00 | $18,807.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | $11,284.26 | $28,934.00 | $18,807.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $12,152.28 | $28,934.00 | $18,807.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AETNA CONTRACTED [320008] | HB ARDM AETNA NBD | $12,702.03 | $28,934.00 | $18,807.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $12,917.00 | $51,668.00 | $33,584.20 | 2026-05-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $12,917.00 | $51,668.00 | $33,584.20 | 2026-05-15 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | OSMA HEALTH CONTRACTED [320292] | HB ARDM OSMA HEALTH | $13,020.30 | $28,934.00 | $18,807.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $13,020.40 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH & JEFN HERMANN AREA DISTRICT HOSPITAL | $13,020.40 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH & JEFN HERMANN AREA DISTRICT HOSPITAL | $13,020.40 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $13,020.40 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | $14,105.52 | $36,168.00 | $23,509.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | $14,105.52 | $36,168.00 | $23,509.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE [20396] | HB ROGR UHC | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB ROGR MUNICIPAL HEALTH BENEFIT FUND | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB ROGR BRYV QUAL CHOICE | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ROGR UHC | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB ROGR DEC SHOW ME | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ROGR UHC | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB ROGR CIGNA | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TOWN AND COIUNTRY | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SHOW ME | $14,467.00 | $28,934.00 | $18,807.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | GLOBALHEALTH CONTRACTED [320144] | HB ADA GLOBALHEALTH | $14,467.20 | $36,168.00 | $23,509.20 | 2026-03-12 | MRF ↗ |
| UW HEALTH BothFacility | Blue Cross Blue Shield HMOI | HMO Plans | $14,595.55 | $109,741.00 | $17,558.56 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MC ANTHEM [20455] | HB WASH ANTHEM BLUE ACCESS PPO | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA CONTRACTED [320008] | HB WASH JEFN AETNA COMMERCIAL NEW 070123 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB WASH CIGNA HMO | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MC ANTHEM [20455] | HB WASH ANTHEM ACCESS CHOICE PPO | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH JEFN DEC CLAYCO | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC LEVEL HEALTH DEC | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC QUICK TRIP | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC TALL TREE DEC NEW 040125 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB WASH JEFN LEVEL HEALTH DEC | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB WASH CIGNA PPO | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AITHER HEALTH [20449] | HB WASH JEFN SHINE SOLAR DEC NEW 110320 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMBETTER [20452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH JEFN DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EBMS CONTRACTED [320493] | HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB STLO UHC HMO PPO ALL PAYER | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC WOODARD DEC NEW 040124 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC EASTER SEALS DEC NEW 010125 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH JEFN DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM PATHWAY/EXCHANGE EFF 011520 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM BLUE PREFERRED EFF 011520 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM BLUE ACCESS PPO | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB STLO SAMC WW WOOD DEC | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CLAYCO DEC | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AMBETTER [20452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $14,647.95 | $32,551.00 | $21,158.15 | 2026-03-12 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.